ALBANY GENERAL HOSPITAL (NPI# 1548313356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548313356 |
| Entity Type | Organization |
| Organization Name | ALBANY GENERAL HOSPITAL |
| Other Organization Name | ELM STREET PHARMACY |
| Practice Address |
1010 7th Ave Sw Albany OR 97321-1922 |
| Practice Telephone | 5418125071 |
| Mailing Telephone | 5418125071 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | DAVID TRIEBES (CEO) |
| Authorized Official Telephone | 5418124102 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
00104 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | RP-0000104-CS | 01 |
| Other Name | Type Code |
|---|---|
| Elm Street Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1346620408 | Albany General Hospital | Internal Medicine | 1086 7th Avenue Sw, Suite 200, Albanyr, OR 97321-1954 | 2015-06-04 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1104182369 | Albany General Hospital | Internal Medicine | 620 Elm St Sw, Albany, OR 97321-1986 | 2012-04-02 |
| 1912263179 | Albany General Hospital | Family Medicine | 534 Pleasant View Way Nw, Suite 100, Albany, OR 97321-1700 | 2012-04-02 |
| 1851628648 | Albany General Hospital | Family Medicine | 1970 14th Ave Se Ste 130, Albany, OR 97322-8527 | 2009-11-16 |
| 1316302672 | Albany General Hospital | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-12-30 |
| 1548649734 | Albany General Hospital | Obstetrics & Gynecology | 400 Hickory St Nw, Suite 200, Albany, OR 97321-1700 | 2015-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ALBANY GENERAL HOSPITAL | 1046 Sixth Ave Sw, Albany, OR 97321 |
| Oregon Corporations, Companies and Business Names | ALBANY GENERAL HOSPITAL FOUNDATION | 1046 Sw 6th Ave, Albany, OR 97321 |
| Street Address |
1010 7TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982076022 | Jeremy Boyd Theobald | Pharmacist | 1010 7th Ave Sw, Albany, OR 97321-1922 | 2015-10-28 |
| 1972803690 | Susan I Maule | Pharmacist | 1010 7th Ave Sw, Albany, OR 97321-1922 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104354 | Jrrx LLC | Pharmacy | 621 Hickory St Nw, Albany, OR 97321-1754 | 2020-11-03 |
| 1508331224 | Hy Vee Inc | Pharmacy | 703 E Us Highway 136, Albany, MO 64402-8209 | 2018-10-09 |
| 1841770971 | Albany Area Primary Health Care, Inc. | Pharmacy | 1712 E Broad Ave Ste A, Albany, GA 31705-2611 | 2018-08-17 |
| 1093214074 | Walgreen Co | Pharmacy | 33 New Scotland Ave Ste 106, Albany, NY 12208-3560 | 2018-02-06 |
| 1386031334 | Forteen Star Enterprises Inc | Pharmacy | 65 Central Ave, Albany, NY 12206-3054 | 2015-04-16 |
| 1033557814 | Walgreen Co | Pharmacy | 2200 E Oglethorpe Blvd Ste A, Albany, GA 31705-3084 | 2013-06-13 |
| 1285973313 | Roberts' Pharmacy LLC | Pharmacy | 190 Westview Shopping Ctr, Albany, KY 42602-1600 | 2013-02-09 |
| 1477891893 | Town Total Health LLC | Pharmacy | 728 Madison Ave Ste B1, Albany, NY 12208-3302 | 2013-01-18 |
| 1336425164 | Shoprite Supermarkets, Inc | Pharmacy | 709 Central Ave, Albany, NY 12206-1601 | 2011-10-25 |
| 1699001636 | Sander's Drug Store | Pharmacy | 104 South Main St., Albany, TX 76430-8054 | 2009-10-27 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.